Urgency Incontinence Assessment
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Questions and Answers

Which of the following is a symptom in the Urogenital Distress Inventory (UDI-6)?

  • Frequent urination (correct)
  • Difficulty concentrating for more than 30 minutes
  • Sensitivity to bright lights
  • Pain or discomfort in the upper back

What is the scoring range for each item in the Urogenital Distress Inventory (UDI-6)?

  • 1 to 4
  • 1 to 10
  • 0 to 3 (correct)
  • 0 to 5

In the context of stress incontinence, when might a person experience a leak of urine?

  • When feeling hungry
  • When coughing, sneezing, or laughing (correct)
  • When sitting down
  • When reading a book

Which medical condition can lead to functional incontinence?

<p>Osteoarthritis (C)</p> Signup and view all the answers

Which of the following symptoms is relevant to the obstetric and gynecological history with respect to urinary incontinence?

<p>Symptoms of pelvic organ prolapse (A)</p> Signup and view all the answers

Which category of medications could worsen urinary incontinence?

<p>Antidepressants (A)</p> Signup and view all the answers

What should be assessed during neurological examination relevant to urinary incontinence?

<p>Cognitive screening and gait assessment (D)</p> Signup and view all the answers

What type of examinations require gaining consent and offering to have a chaperone present?

<p>Rectal examination, vaginal exam, and speculum exam (D)</p> Signup and view all the answers

What initial investigations should be performed for assessing urinary incontinence?

<p>Urinalysis and midstream urine test (MSU) (C)</p> Signup and view all the answers

What is the first-line treatment for urinary incontinence?

<p>Lifestyle management and behavioral therapy (A)</p> Signup and view all the answers

Which further investigations may be considered for assessing urinary incontinence?

<p>Urodynamic testing and cystoscopy (B)</p> Signup and view all the answers

Which blood test is relevant for assessing urinary incontinence?

<p>Full blood count (FBC) (A)</p> Signup and view all the answers

What is the purpose of bladder training?

<p>To decrease the time intervals between voiding (C)</p> Signup and view all the answers

What is the primary action of anticholinergics in managing urinary incontinence?

<p>Blocking muscarinic receptors on the detrusor muscle (C)</p> Signup and view all the answers

What is the recommended first-line management for women with urinary incontinence?

<p>Bladder training and lifestyle management (D)</p> Signup and view all the answers

What is the effect of β3 (beta 3)-agonists in managing urinary incontinence?

<p>Enhancing relaxation of the detrusor muscle (C)</p> Signup and view all the answers

What can exacerbate urinary incontinence and should be managed by increasing fiber intake or considering laxatives?

<p>Constipation (B)</p> Signup and view all the answers

For what type of patients are bulking agents usually reserved in the management of urinary incontinence?

<p>Patients with stress urinary incontinence (B)</p> Signup and view all the answers

What is a symptom complex consisting of urgency (with or without incontinence), nocturia, and frequency of urine, in the absence of a pathology?

<p>Idiopathic overactive bladder (B)</p> Signup and view all the answers

What should be examined in men with urinary incontinence to assess for a potential contributing factor?

<p>Digital rectal examination (DRE) (D)</p> Signup and view all the answers

What is the purpose of pelvic floor muscle training (PFMT)?

<p>To reduce stress urinary incontinence (D)</p> Signup and view all the answers

What should be considered if benign prostatic hyperplasia (BPH) does not respond to medical treatment?

<p>Surgical resection referral to urology (B)</p> Signup and view all the answers

What can be helpful if suspicion of a prostate pathology arises?

<p>DRE and PSA test (C)</p> Signup and view all the answers

What should be used with caution when prescribed due to its potential to precipitate orthostatic hypotension?

<p>BPH targeted therapy (B)</p> Signup and view all the answers

What should be assessed when taking the history of presenting complaint related to incontinence?

<p>History of recurrent urinary tract infections and bowel function (A)</p> Signup and view all the answers

What is a common symptom to inquire about when assessing urgency incontinence?

<p>Frequency of passing urine during the day (A)</p> Signup and view all the answers

What might be indicative of potential urological malignancy?

<p>Dysuria and hematuria (B)</p> Signup and view all the answers

How can alcohol and caffeine intake affect urgency incontinence?

<p>They can increase the frequency of passing urine (B)</p> Signup and view all the answers

What role does mobility play in assessing urgency incontinence?

<p>It affects the person's ability to make it to the toilet in time (A)</p> Signup and view all the answers

What should be determined regarding recurrent urinary tract infections?

<p>Whether they have been microbiologically confirmed infections or diagnosed on symptoms alone (B)</p> Signup and view all the answers

Why is it important to assess bowel function when evaluating incontinence?

<p>Chronic constipation can impede complete bladder voiding (A)</p> Signup and view all the answers

What might indicate a strong urge to pass urine?

<p>Passing urine several times during the day (A)</p> Signup and view all the answers

What could be an indicator of overflow incontinence?

<p>Failing to make it to the toilet in time at night (C)</p> Signup and view all the answers

What is a potential indicator of potential urological malignancy?

<p>Dysuria and hematuria (A)</p> Signup and view all the answers

How might alcohol and caffeine intake affect urgency incontinence?

<p>They can lead to frequent nighttime urination (C)</p> Signup and view all the answers

What role does frequent nighttime urination play in assessing urgency incontinence?

<p>It influences the person's ability to make it to the toilet in time (D)</p> Signup and view all the answers

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